Individual provider Active NPI

Diane Roberts, MA, CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1275824005
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000113 Issued in CO
Practice address
9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898
Phone
(720) 545-2045
Fax
(303) 955-6660
NPI assigned
Apr 27, 2011
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-3736 NV
Speech-Language Pathologist 235Z00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0000113 CO Primary

Addresses

Primary practice location

9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898

Mailing address

9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898
Phone (720) 545-2045

Other practice location 1

18071 E Dorado Dr
Centennial, CO 80015-5916
Phone (303) 627-5212

Other practice location 2

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 784-4300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Diane@expertspeech.net Direct
CONNECT URL https://secure.simplepractice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-3736NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Speech & Swallow Therapy, LLC Single Specialty CurrentSince Oct 17, 2019 Accepting new patients
Rodrigo D. Rodriguez PastSince Oct 14, 2020 Accepting new patients

Locations

10730 E Bethany Dr
Ste 330
Aurora, CO 80014
Phone (720) 545-2045

9101 E Kenyon Ave
Ste 2600
Denver, CO 80237
Phone (720) 545-2045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1275824005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE STE 2600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371898",
            "telephone_number": "720-545-2045",
            "fax_number": "303-955-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE STE 2600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371898",
            "telephone_number": "720-545-2045",
            "fax_number": "303-955-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18071 E Dorado Dr",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155916",
            "country_code": "US",
            "telephone_number": "303-627-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195170",
            "country_code": "US",
            "telephone_number": "702-784-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DIANE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3736",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diane@expertspeech.net",
            "affiliation": "N",
            "endpointDescription": "HIPPA-compliant email through Google Suite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16757 E Mansfield Cir",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800132830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR that uses encryption for PHI documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "10730 E Bethany Dr Ste 330",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800142691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.